- 골 육종 환자에서 항암제 동맥 주입 효과에 대한 방사선학적 분석: 자기공명영상과 동맥내 디지털감산혈관조영 소견을 중심으로
- ㆍ 저자명
- 이구,김인원,연경모,윤현기,안효섭
- ㆍ 간행물명
- 대한방사선의학회지
- ㆍ 권/호정보
- 1991년|27권 5호|pp.715-721 (7 pages)
- ㆍ 발행정보
- 대한영상의학회
- ㆍ 파일정보
- 정기간행물| PDF텍스트
- ㆍ 주제분야
- 기타
For the evaluation of the effect of intraarterial chemotherapy with CDDP(cis-diaminedichloroplatinum) in the treatment of osteogenic sarcoma, we compared radiographic findings of magnetic resonance imaging(MRI) and intraarterial digital subtraction angiography(IA DSA) with the degree of tumor necrosis in pathologic speciments. The decrease in neovascularity and tumor stain in IA DSA showed good correlation with tumor response(necrosis) to IA chemotherapy. MRI was useful in the localization of intra-and extramedullary tumor. and detection of skip metastases, but signal intensity changes showed poor correlation with tumor response to chemotherapy. In gadolinium diethyltriamine pentaacetic acid enhanced MRI(Gd-DTPA MRI), the enhancing areas closely correlated with the areas of tumor stain IA DSA. In conclusion, IA DSA is a good imaging tool and Gd-DTPA MRI is expected to become a more useful modality in the evaluation of tumor response to chemotherapy in osteogenic sarcoma.